It obviously depends on the unit. I've had a Mitsubishi mini split with hyper-heating, and I've been quite pleased with its performance year round. Our house has a horribly designed HVAC system where the upstairs bedrooms get nearly no airflow due to how the vents were run. We have one head in each bedroom, and they are by far now the most comfortable rooms in the house. We keep them at 72° year round, and I'm sure we could go even warmer if needed in the winter.
It doesn't get quite as cold down here in SW Ohio, but we've definitely had some cold days over the past few years of having it. The system will end up needing to defrost pretty often once it gets down below freezing, which can be a bit noisy at times overnight. It's just how the system works. Otherwise, no complaints from me, aside from the absurdly large outdoor unit.